Individual
HAITHAM MAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4327
Mailing address
1217 PIPING PLOVER CT, FAYETTEVILLE, NC 28306-3598
(806) 686-7110
(910) 615-5959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q7421
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Q7421
TX
207RI0011X
Interventional Cardiology Physician
Primary
2023-01104
NC
208M00000X
Hospitalist Physician
Q7421
TX
Other
Enumeration date
07/27/2012
Last updated
09/10/2024
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